Jackson, Alison Moon

Jackson, Alison Moon is an sole proprietor health care provider with primary practice located at 899 Santa Cruz Ave Ste 200 , Menlo Park CA 94025-4643. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Jackson, Alison Moon can be contacted via phone (650) 489-1617.

Contact Information

Primary practice address
899 Santa Cruz Ave Ste 200 Menlo Park CA 94025-4643
Phone: (650) 489-1617
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 32476 California

Profile Details

NPI number 1780017095
LBN Legal business name Jackson, Alison Moon
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2013
Last updated Jun 25th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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